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FORM OR• I02 F~~Ea ~,y~+ kECORpEp
~r66OO8 STATE OF FLORIDA ST.lt3C1E COUNTY FIA.
DEPARTMENT OF REVENUE ROGER P01Tt1AS
~ L''F ESTATE TAX 6UREAU Rf~4yp Y~q~~~
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r TALLAHASSEE, FLORIDA 32304 ~T'~ 57 AM ~~3
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J ED STRAUGMN NON - TAXABLE CERTIFICATE AND RECEIPT '26s00$
EiECVT~vE O~RECTOA
FOR ESTATE TAX
TO: Agnes Pye ~ Executrix
r~. Frank H. Fee, iii, AttY. ~ A 15 5 3 3 Pp
P.o. BoX ~ooo
Ft. Pierce, FL 33450 The Estate of Andrew Pxe
FL prop in St. Lucie
Deceased .
Resident of _ ' Hudson ~
County, New Jersey
Date: October 9, 19~3
$5.00 $r1-AA Fee Received: September 26, 1973
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
~ If proof of non liability by the above estate for the Florida Estate Tax is required
' by any person this Certificate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above wri#ten .
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- - " `t, _ Executive Director -
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~ ~ ~ ' Department of Revenue
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Not valid without seal affixed .
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